Isfahan University of Medical SciencesJournal of Isfahan Medical School1027-75953753420190823IndexIndex1589410.22122/jims.v37i534.13270FAJournalIndex0000-0003-0874-1906Journal Article20200729Click to download the index of this issue.Click to download the index of this issue.https://jims.mui.ac.ir/article_15894_0388946ad3ee4d2a9a862fd416fb2589.pdfIsfahan University of Medical SciencesJournal of Isfahan Medical School1027-75953753420190823A Comparative Study on the Effect of Correctional Exercises and Kinesio Taping on the Improvement of Head-form in Girl StudentsA Comparative Study on the Effect of Correctional Exercises and Kinesio Taping on the Improvement of Head-form in Girl Students7847911589510.22122/jims.v37i534.11941FASaraJahanbakhsh-NikDepartment of Physical Education and Sport Sciences, School of Physical Education and Sport Sciences, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran0000-0003-2483-5558YahyaSokhangoueiAssistant Professor, Department of Corrective Exercises and Sports Pathology, School of Physical Education and Sport Sciences, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran0000-0002-2277-3683MobinMoradi-SemsaniStudent, Department of Sport Sciences, School of Physical Education and Sport Sciences, University of Tehran, Tehran ,Iran0000-0001-6221-1135Journal Article20190618Background: The purpose of this study was to investigate the effect of corrective exercises and kinesio taping on the improvement of forward head improvement in female students.Methods: In this randomized quasi-experimental study, 30 girl students aged 7 to 13 years with forward head were randomly divided into two equal groups of exercises and kinesio taping. The refresher training group performed selective exercises for 6 weeks (three sessions per hour per week). The kinesio taping group obligated to use kinesio tape in the posterior part of the neck (along with the cervical vertebrae) for 6 weeks. The improvement of forward head was compared between the two groups.Findings: 6 weeks after intervention, the improvement of forward head in corrective exercises and kinesio taping groups was 13.5% and 34.5%, respectively, and the difference between the two groups was statistically significant (P = 0.001). There was a significant difference between the effects of correction exercises and the use of kinesio tape on forward head improvement in favor of the kinesio taping group.Conclusion: The results show that both the correction exercises and the use of kinesio tape can reduce the angle of head forward. However, kinesio taping has a greater effect on forward head reduction. Therefore, kinesio taping and corrective exercises can be used to improve forward head.Background: The purpose of this study was to investigate the effect of corrective exercises and kinesio taping on the improvement of forward head improvement in female students.Methods: In this randomized quasi-experimental study, 30 girl students aged 7 to 13 years with forward head were randomly divided into two equal groups of exercises and kinesio taping. The refresher training group performed selective exercises for 6 weeks (three sessions per hour per week). The kinesio taping group obligated to use kinesio tape in the posterior part of the neck (along with the cervical vertebrae) for 6 weeks. The improvement of forward head was compared between the two groups.Findings: 6 weeks after intervention, the improvement of forward head in corrective exercises and kinesio taping groups was 13.5% and 34.5%, respectively, and the difference between the two groups was statistically significant (P = 0.001). There was a significant difference between the effects of correction exercises and the use of kinesio tape on forward head improvement in favor of the kinesio taping group.Conclusion: The results show that both the correction exercises and the use of kinesio tape can reduce the angle of head forward. However, kinesio taping has a greater effect on forward head reduction. Therefore, kinesio taping and corrective exercises can be used to improve forward head.https://jims.mui.ac.ir/article_15895_d7a6170fcd40c9d43be7eb83295b0324.pdfIsfahan University of Medical SciencesJournal of Isfahan Medical School1027-75953753420190823Synthesis of Fe3O4@Au Nanosystem Functionalized with Cyclodextrin as a Nanosystem with Multimodal Diagnosis and Treatment CapabilitiesSynthesis of Fe3O4@Au Nanosystem Functionalized with Cyclodextrin as a Nanosystem with Multimodal Diagnosis and Treatment Capabilities7927971589610.22122/jims.v37i534.12069FAAtefehZarepourPhD Student, Department of Biotechnology, School of Advanced Sciences and Technologies, University of Isfahan, Isfahan, Iran0000-0002-0347-5840AliZarrabiAssociate Professor, Department of Biotechnology, School of Advanced Sciences and Technologies, University of Isfahan, Isfahan, Iran0000-0003-0391-1769Kim LambertsenLarsenProfessor, Department of Chemistry, School of Chemistry and Bioscience, Aalborg University, Aalborg, Denmark0000-0003-2172-7519Journal Article20190723Background: Increase in the number of peoples with cancer attract many researchers in the field of medical science to find a safe approach to treat it. The application of nanotechnology in this field is very promising, and has led to the design of nanosystems with the ability of simultaneous diagnose and therapy. Based on this, the aim of this project was the synthesis a system with functionality in multimodal diagnosis and therapy.Methods: Here, iron oxide nanoparticles were synthesized through thermal decomposition method, and were covered by Au during five irritations using Lyon's method. Finally, cyclodextrins were attached, and then polymerized on the system. The successful preparation of the system was evaluated using different characterization tests.Findings: Results showed the prosperous preparation of iron oxide nanoparticles with 15 nm mean diameter which was coated with a gold cover that increased the size to 35 nm. Moreover, the presence of cyclodextrin on the surface of system was confirmed by analytical characterization tests.Conclusion: The nanosystem introduced in this project, due to the presence of iron oxide and Au nanoparticles, has the ability to be used in two diagnostic approaches, magnetic resonance imaging (MRI) and computed tomography (CT) scan. Moreover, the presence of cyclodextrin and iron oxide in its structure allows it to be used as a hydrophobic drug delivery system, as well as in photothermal therapy and hyperthermia.Background: Increase in the number of peoples with cancer attract many researchers in the field of medical science to find a safe approach to treat it. The application of nanotechnology in this field is very promising, and has led to the design of nanosystems with the ability of simultaneous diagnose and therapy. Based on this, the aim of this project was the synthesis a system with functionality in multimodal diagnosis and therapy.Methods: Here, iron oxide nanoparticles were synthesized through thermal decomposition method, and were covered by Au during five irritations using Lyon's method. Finally, cyclodextrins were attached, and then polymerized on the system. The successful preparation of the system was evaluated using different characterization tests.Findings: Results showed the prosperous preparation of iron oxide nanoparticles with 15 nm mean diameter which was coated with a gold cover that increased the size to 35 nm. Moreover, the presence of cyclodextrin on the surface of system was confirmed by analytical characterization tests.Conclusion: The nanosystem introduced in this project, due to the presence of iron oxide and Au nanoparticles, has the ability to be used in two diagnostic approaches, magnetic resonance imaging (MRI) and computed tomography (CT) scan. Moreover, the presence of cyclodextrin and iron oxide in its structure allows it to be used as a hydrophobic drug delivery system, as well as in photothermal therapy and hyperthermia.https://jims.mui.ac.ir/article_15896_4c58556a4800c5f18316dcfbe00480bd.pdfIsfahan University of Medical SciencesJournal of Isfahan Medical School1027-75953753420190823The Effect of Different Positions on Determining the Modified Mallampati Class in Order to Predict the Difficulty of Ventilation with Mask, and the Laryngoscopy Grade and Difficult Intubation in Candidates for SurgeryThe Effect of Different Positions on Determining the Modified Mallampati Class in Order to Predict the Difficulty of Ventilation with Mask, and the Laryngoscopy Grade and Difficult Intubation in Candidates for Surgery7988051589710.22122/jims.v37i534.11876FASaharChabipour-MahmoudizadehDepartment of Critical Care Nursing, School of Nursing and Midwifery, Sharekord University of Medical Sciences, Shahrekord, Iran0000-0003-0374-4462ShahramEtemadifarAssistant Professor, Department of Adults and Geriatric Nursing, School of Nursing and Midwifery, Sharekord University of Medical Sciences, Shahrekord, Iran0000-0001-9201-3754GholamrezaShabanianAssociate Professor, Department of A Anesthesiology, School of Medicine, Sharekord University of Medical Sciences, Shahrekord, Iran0000-0001-9284-374XKobraNourianInstructor, Department of Operating Room, School of Nursing and Midwifery, Sharekord University of Medical Sciences, Shahrekord, Iran0000-0003-3957-7600MortezaSedehiAssociate Professor, Department of Biostatistics, School of Health, Sharekord University of Medical Sciences, Shahrekord, Iran0000-0003-4403-1709Journal Article20190601Background: Inadequate ventilation with mask and difficult intubation are the most common adverse respiratory outcomes in patient undergoing anesthesia .The aim of this study was to compare Mallampati test in different sitting positions in traditional approach and during phonation for predicting difficult laryngoscopy and intubation in candidates for surgery.Methods: In this diagnostic value study on 385 patients, in different positions of supine and sitting with and without abeslang, Mallampati test was examined by a blind person regarding the condition of the mallmpati, laryngoscopy grade, and the severity of intubation. The results of these four positions of mallampati were compared in predicting laryngoscopy grade and the severity of intubation.Findings: All mallampati test scenarios had acceptable diagnostic value (P < 0.001). The accuracy of the Mallampati test in supine position with open mouth was lower than in other cases, and in the both positions of sitting with abeslang and supine with open mouth, diagnostic values were not suitable for assessing difficult and comfortable mask ventilation (P > 0.050). Mallampati test accuracy in supine position with open mouth was less than other positions. However, with a low accuracy, this position had the highest sensitivity (100%). Positive predictive values of supine and sitting positions with abeslang were higher than other positions.Conclusion: According to the results of this study, the Malamapati test in the position of supine with abeslang was better in determining the severity of laryngoscopy and intubation.Background: Inadequate ventilation with mask and difficult intubation are the most common adverse respiratory outcomes in patient undergoing anesthesia .The aim of this study was to compare Mallampati test in different sitting positions in traditional approach and during phonation for predicting difficult laryngoscopy and intubation in candidates for surgery.Methods: In this diagnostic value study on 385 patients, in different positions of supine and sitting with and without abeslang, Mallampati test was examined by a blind person regarding the condition of the mallmpati, laryngoscopy grade, and the severity of intubation. The results of these four positions of mallampati were compared in predicting laryngoscopy grade and the severity of intubation.Findings: All mallampati test scenarios had acceptable diagnostic value (P < 0.001). The accuracy of the Mallampati test in supine position with open mouth was lower than in other cases, and in the both positions of sitting with abeslang and supine with open mouth, diagnostic values were not suitable for assessing difficult and comfortable mask ventilation (P > 0.050). Mallampati test accuracy in supine position with open mouth was less than other positions. However, with a low accuracy, this position had the highest sensitivity (100%). Positive predictive values of supine and sitting positions with abeslang were higher than other positions.Conclusion: According to the results of this study, the Malamapati test in the position of supine with abeslang was better in determining the severity of laryngoscopy and intubation.https://jims.mui.ac.ir/article_15897_30c9e61c56a0a84b7fd7176f0323d0b6.pdfIsfahan University of Medical SciencesJournal of Isfahan Medical School1027-75953753420190823The Effect of Glucose-Insulin-Potassium (GIK) Administration on Clinical Outcomes after Pediatric Cardiac Surgeries with Cardiopulmonary Bypass: A Single-Blind Clinical TrialThe Effect of Glucose-Insulin-Potassium (GIK) Administration on Clinical Outcomes after Pediatric Cardiac Surgeries with Cardiopulmonary Bypass: A Single-Blind Clinical Trial8068121589810.22122/jims.v37i534.11429FAAzadehTavangarResident, Department of Anesthesiology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran0000-0002-8283-6834MojtabaMansouriAssociate Professor, Heart Anesthesiology Research Center, Isfahan University of Medical Sciences, Isfahan, Iran0000-0002-5725-3012GholamrezaMassoumiAssociate Professor, Heart Anesthesiology Research Center, Isfahan University of Medical Sciences, Isfahan, Iran0000-0002-9182-2338HamidBigdelianAssociate Professor, Department of Surgery, School of Medicine AND Heart Anesthesiology Research Center, Isfahan University of Medical Sciences, Isfahan, Iran0000-0001-9222-9184Journal Article20190302Background: With more than 40 years of research on the effects of glucose-insulin-potassium (GIK) solution on the clinical consequences of heart surgery, its use and impact are still challenging, Therefore, the aim of this study was to investigate the effect of GIK solution on clinical outcomes after pediatric heart surgeries with cardiopulmonary bypass.Methods: This clinical trial study was performed on 49 patients undergoing cardiac surgery by using cardiopulmonary bypass in children aged younger than 12 years in Shahid Chamran hospital, Isfahan, Iran. Patients were divided into two groups of GIK (25 people) and control (24 people). The GIK group received GIK solution, and the control group received normal saline solution. Arrhythmia, the frequency of taking insulin and adrenaline drugs, the need for cardiac shock, hospitalization and intensive care unit (ICU) time, and blood pressure were recorded in both groups. Data were analyzed using independent t, chi-square, and repeated measures ANOVA tests.Findings: The use of GIK solution significantly reduced the need for postoperative shock, the frequency of arrhythmia, duration of hospitalization, and the amount of inotrope drugs in comparison with the control group (P < 0.05).Conclusion: According to the results of the study, the use of GIK solution during cardiac surgery can reduce clinical outcomes such as hospitalization and ICU time, the need for cardiac shock, and arrhythmia after open-heart surgery in pediatric patients.Background: With more than 40 years of research on the effects of glucose-insulin-potassium (GIK) solution on the clinical consequences of heart surgery, its use and impact are still challenging, Therefore, the aim of this study was to investigate the effect of GIK solution on clinical outcomes after pediatric heart surgeries with cardiopulmonary bypass.Methods: This clinical trial study was performed on 49 patients undergoing cardiac surgery by using cardiopulmonary bypass in children aged younger than 12 years in Shahid Chamran hospital, Isfahan, Iran. Patients were divided into two groups of GIK (25 people) and control (24 people). The GIK group received GIK solution, and the control group received normal saline solution. Arrhythmia, the frequency of taking insulin and adrenaline drugs, the need for cardiac shock, hospitalization and intensive care unit (ICU) time, and blood pressure were recorded in both groups. Data were analyzed using independent t, chi-square, and repeated measures ANOVA tests.Findings: The use of GIK solution significantly reduced the need for postoperative shock, the frequency of arrhythmia, duration of hospitalization, and the amount of inotrope drugs in comparison with the control group (P < 0.05).Conclusion: According to the results of the study, the use of GIK solution during cardiac surgery can reduce clinical outcomes such as hospitalization and ICU time, the need for cardiac shock, and arrhythmia after open-heart surgery in pediatric patients.https://jims.mui.ac.ir/article_15898_816865fa670ed97d787c0c977edaf01a.pdfIsfahan University of Medical SciencesJournal of Isfahan Medical School1027-75953753420190823The Role of Clinical Informationist in Clinical Teams: Letter to EditorThe Role of Clinical Informationist in Clinical Teams: Letter to Editor8138151589910.22122/jims.v37i534.11946FAMarziehTahmasebiDepartment of Medical Library and Information Sciences, School of Management and Medical Information Sciences, Isfahan University of Medical Sciences, Isfahan, Iran0000-0003-2357-2506AlirezaRahimiAssistant Professor, Health Information Technology Research Center, Isfahan University of Medical Sciences, Isfahan, Iran0000-0002-2841-8279FiroozehZare-FarashbandiAssociate Professor, Health Information Technology Research Center, Isfahan University of Medical Sciences, Isfahan, Iran0000-0002-1231-642XPeymanAdibiProfessor, Integrative Functional Gastroenterology Research Center, Isfahan University of Medical Sciences, Isfahan, Iran0000-0001-6411-5235Journal Article20190619Focusing on various educational, research, and clinical roles of Clinical Informationist (CI), it is necessary to joint CIs to the clinical team as a member of patient care unit. CI can play an important role in improving medical services and community health by teaching clinical information literacy, training health information literacy to patient, and helping to search and retrieve information in research and clinical teams. It should be recommended that having such significant roles in the health care context requires CIs’ efforts to improve their skills and abilities, as well as to develop official and non-official relevant educational infrastructures in the health system of each country.Focusing on various educational, research, and clinical roles of Clinical Informationist (CI), it is necessary to joint CIs to the clinical team as a member of patient care unit. CI can play an important role in improving medical services and community health by teaching clinical information literacy, training health information literacy to patient, and helping to search and retrieve information in research and clinical teams. It should be recommended that having such significant roles in the health care context requires CIs’ efforts to improve their skills and abilities, as well as to develop official and non-official relevant educational infrastructures in the health system of each country.https://jims.mui.ac.ir/article_15899_7071a9c8703726d78b0a3089ce26457b.pdf